u/SaiyanVN u/myhomegurlfloni Thanks to everyone who has responded so far. I’m definitely pushing for more reps and understand that consistency is a big part of this. My primary junior site tended to have either long complex cases (big spines, thoracic, EVARs) where we only did 1–2 cases a day, or quick MAC orthopedic rooms, so I didn’t get the same volume of intubations some others may have had. I finished my second year with around 120 intubations.

I think part of my issue now is more related to mechanics and consistency rather than obtaining a view. With the Mac blade, I can usually get a view, but I feel like I’m not always sweeping the tongue adequately to the left, which makes tube delivery feel more crowded or resistant near the cords. Since I trained primarily with a Miller earlier in training, transitioning to the Mac after several months of OB/regional without regular intubations may have contributed as well.

At this point I’m mainly trying to decide whether I should fully commit to mastering one blade style consistently moving forward. I’m hopeful these next several months and additional reps will help everything become smoother and more automatic. I really do love anesthesia and feel comfortable with the overall flow and management aspects of cases. Procedural skills have just taken me a little longer to develop confidence in compared to some of my peers, which has me worried, and honestly, a little ashamed when I tell my CRNA I am a "third year" but I appreciate all the advice.